Individual
DR. SUMNER L. FISHBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 724-6100
(706) 724-1600
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
(706) 724-1600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
015253
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00070705C
—
GA
05
—
SC MEDICAID
—
SC
Enumeration date
06/01/2005
Last updated
09/30/2015
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